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1490 NE 101 St (4)Date Job Address / 41'7 ° 'VE: /6/ ST. Legal Description Lessee / Tenant E 4A'e G c H 2 c/ (3 Owner's Address / T 9 D At E. • /O/ ST. Phone Contracting Co.:2 g /%A.e /NE c2 47 k/s 1r/edcriO4 0 Address 7. Z //e . 79 57. Qualifier A`14X .LA/lsoi✓ SS# - - State # Municipal # Architect /Engineer .JAV/ 5 k /,UEE €s . Address ?PO 7tA4/494 CAN44 R ib M //5-M/ , ,33/4 Bonding Company Address Mortgagor Address Permit Type(circle one):(UILDIND ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION / E ! C. E T / f i3 Square Ft. 9(O SG?. t T Estimated Cost(value) j � / 434.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constrnc,tion and zoning. Furthermore, I authorize t =•od -named contractor to do the work stated � �' Signature of f 9, Date: _.'' Ala III Notary as ti. , My Commissio'fr ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE and /or Condo President OFFICIAL SEAL MAX LARSON My Commission Expire April 7, 1096 pate, t&A> al eitident ,hires: . * • * * * ••, FEES: PERMIT 511 RADON C.C.F. t50 NOTARY TOTAL DUE 57 Fire Buildin Mechanical Plumbing_ Zoning Tax Folio Master Permit # 3750-5 Phone 25/- 99// Competency # Ins.Co. Signature of Contractor or Owner- Builder Date: Notary as to Contractor o Own Builder RA�� My CommissioT ▪ OFFICIAL SEAL CAROL SUE TIPPINS My Commission Expires * A.: *I 7, 199 Comm. No. CC 191 491 * * Other Electrical Engineering U,� 4ROTE(TION ��p2a 3,' L` = Department of _ Environmental Protection Lawton Chiles Governor DATE: MARCH 3, 1995 TO: MIAMI SHORES VILLAGE FILE NO. 132662476 APPLICANT SCHRAUB, EDGAR D. Southeast District P.O. Box I5425 West Palm Beach, Florida 33416 (407) 433 -2650 Virginia B. Wetherell Secretary Enclosed is the subject short form application which involves dredge and fill activities in waters of the State within the limits of your jurisdiction. Section 403.911, Florida Statutes, as amended by the 1984 session of the Florida Legislature, requires the Department to notify the local government within 10 days of receipt of an application for a dredge and fill permit. The local government has 14 days from the time it receives the notification for a short -form application and 60 days from the time it receives the notification for a standard -form application to file objections to the application. Furthermore, the local government may participate as a party to the procedure and may request a hearing pursuant to Section 120.57, Florida Statutes, within 14 days after receiving notice of the Department's intent. If the local government does not file objections within the designated time period or request an intent letter, the Department will assume that the local government does not wish to receive a notice of intent. Objections should be mailed to CAROLTNE HANES. EXT. 111 at the letterhead address and should reference the file number. Enclosure: Copy of Application "Protect, Conserve and Manage Florida's Environment and Natural Resources" Printed on recycled paper. P.A.T.S. CHECKLIST Permit Application Tracking, System DATE RECD: A 7 / 95 DAY 30 �/ 15 APPL. NO: /3,2a . SL 7 � APPLICANT NAME: SC h r'yi vio / & jaz . LEAD PROC. a f /REG. PROC. e f! ,6 /PROP. PROC. Project and fees reviewed by: Cl —..eo on 3 / / C� Amount Needed Fee $ Amount Rec'd $ () Correct Amount $ O Amount Refund $ No Fee Needed _ Dist. of funds: PFTF $ BTIITF$ Type Code M Subtype Code / �- TYPE OF PERMIT: Exempt(EX) _ General Permit(GP) Permit Modification (MOD) TYPE OF PROJE ?T: Dredge & Fill (D &F) MSSW Mangroves (MA) Water Class: WAIVER: BEGINS Sent Rec'd Date Date PROJECTDESCRIPTION: Section Township South DATE COMPLETE: Public notice sent ENDS /BEGINS ENDS /BEGINS ENDS REQUEST COMMENTS Comments required from Various agencies: Notes Proprietary Review D I— 'r`!R - 3 1995 ( TitlpLLand Records Stet: Hvdroaraphic Erlttineering Stormwater _ Hydrographic Hydraulic Cons Esmt Land /Title Other Div. Marine Resources - OPS Manatee Turtles S.E.A.S. DERP _ _ Beaches & Coastal Systems Other agencies _ Game & Fish Comm. _ Dept. of State (Archeol) Dept. Comm. Affairs i U.S.A.C.O.E. }SK 3 Co. - 1995 it (xCity Other: Exemption, Denial Drafted by Intent drafted by Final Draft Review by Final Draft Approved by Distribution by Pats Updated by GPSI, APIS, or PWS updated by OFW COMPLETE + 60 Final Processing Range `r d East Aq. Pres.: a COMPLETE + 90 PN PROOF REC'D Date Date Date Date Date Date Date R r C1ass 2 J 9S Coastal Construc'ii:lcr, Permit Application f DEPARIMENI Of ENVIRONMENTAL RESOURCES MANAGEMENI 1. Application number (To be assigned) J)F /3o2�tP�2 /-7� 4. Applicant Information: Name: Edgar D Schraub Address: 1 490 N.E. 1 01 Street Miami ShorPs r Fl Phone Number (305) 751- 7 8 4 6 Zip Code 331 3 R 2. Date DaylMonthlyear 6. Describe the proposed activity, its purpose and intended use. including a description of the type of structures, if any. to be erected on fills, or pipe or Iloat•supported platforms, and the type. composition and quantity of materials to be discharged or dumped and means of conveyance. Replace 8'x 12' timber dock Volume of Material: N/A DredgedlExcavated FIIIId)Deposited cY cy N/A Cy cr wri.rwrd of 0J1.W. or &U M. Landward of 0.11.W. or M.N.W. Wat.rnard o OJI.W. or MJLW Landward of OJI.W. or MAW. 7. Proposed Use: (Check One► go Private O Public ❑ Convnercial O Other (explain in remarks) 8. Names and addresses of adjoining property owners whose property also adjoins the waterway Name Address: Zip Code 9. location where proposed activity exists or will occur Street Address 1 4 9 0 N F 101 41- r p .1- Sate Florida County Dade Latitude longitude Section 5 Twp. 5 3 S Range 42 F In City Of Town t ' am i Shore Near City or Town 10. Name of waterway at location of the activity Biscayne Bay 5. Applicant's authorized agent for permit application coordination Name: Dock and Marine Construction Address: 752 N.E. 79 Street Miami, Florida Phone Number (305) 751- 9 91 1 3. For official Use only Zipcode33138 Name Address: Zip Code • 11: Date Activity is proposed to commence F Data activity is expected to he completed March '95 12. Is any portion of this activity for which authorization is sought now complete? I.] Yes No If answer Is "yes" give reasons In the remarks section Month and year the activity was completed Indicate the existing work on the drawings D.E.P D.E.R.M. u • - u • a 15. Remarks 16. Estimated project cost . $6,000.00 17. Contractor's name and address Name: Address: 752 N. E. 79 S t r p p }- Miami . Florida Zip Code 331 3R Phone Number ( 0 5) 7 51 _ 9 91 1 • 1]. List all approvals or certifications required by other Federal, interstate. state or local agencies for any structures, construction, discharges. deposits or other activities described in this application. including whether the project is a Development Of Regional Impact. Issuing agency Type of Approval Identification Number Date of Application Date of Approval 14. Has any agency denied approval for any activity directly related to the activity described herein? ❑ 'Yes X] No 18. Application is hereby made for a permit or permits to authorize the activities described herein.1 agree to provide any additional information /data that may be necessary to provide reasonable assurance or evidence w show that the proposed project will comply with the applicable State Water Quality Standards or other environmental protection standards both during construction and after the project is completed. I also agree to provide entry to the project site for inspectors Irom the environmental protection agencies for the purpose 'of making preliminary analyses of the site and monitoring permitted works. it permit is granted. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief. such information is true. complete and accurate. I further certify that I possess the authority to undertake the proposedpStivities Signature of owner Date Feb. 3, 1995 SUBSCRIBED AND SWORN TO BEFORE ME THIS CR PERSONALLY KNOWN ❑ PRODUCED I TYPE OF IDENTIFICATION PRODUCED: ...BAY OF gniKi IAL – EA LL- 5 —. BY - -E'1 far D_ CC 9- 'LEASE CitiAlkOtlik • �, } My Commission Expires !+� j r April 7, 1996 .,��. a ••** - Co rim: No. CC 191467 NOTARY PIIRI II: i I Affidavit of Ownership and Hold Harmless Agreement Personally Appeared Before Me, F . d Qa r n and hereby swears and affirms under oath as follows: a �h , the undersigned authority, 1. That your affiant is the record owner of that certain property more fully described ads: i 1490 N.E. 101st Street Miami Shores, Florida 33138 2 I i I That your affiant is also the riparian andlor littoral owner of that certain property that is the subject matter of Application No. for a Class I permit under and pursuant to Section 24.58 of the Code of Metropolitan Dade County to construct or engage in the following activity: Replace 8' x 12' timber dock 3. That your affiant hereby swears and affirms its ownership in the above noted property necessary for the work noted in Paragraph 2 above, and hereby agree: to defend same and hold the County harmless for any and all liability, claims and damages of any nature whatsoever occurring, incurred or arising as a result of your affiant not having proper title to all lands that are the subject matter of this application. STATE OF FLORIDA COUNTY OF DADE Owner IAppf ant BEFORE ME, the undersigned authority, personally appeared Fd r n gc.►, raub , who, after being duly sworn, deposes and says that he has read the foregoing, and that the statements contained therein are true and correct to the best of his knowledge and belief. Sworn to and subscribed before me this 3rd day of Feb. 1995 . +9.0' +.5.0' - 5.0' �Ex�sTt!4 SEAWALL. 0.0 H .L .W. 96.15' • .:," i. 3 .z :S sEa W� �fl SCALE 1= 30 -00 t 12.o 21.25% EXr5T7.4'6. 5 Ex31 (9.9-LL V cM V!,+�� 1 .,.. 'MI 1- Mil 1;lli.11111111 WIN 1 s t St er Ill 1:1 :ter �7 h th��� i itO thl�. St Q Iti = X41 .. , t os l t St r• St t EFT— T 52 S �— ST T cat lc Aa E°. Bis `O St m gzr cc IAMI SHORES nd St cm M'TS Lake Ward ake Belmar CITY UM S )4th 'th St Licensed & Insured DOCK & MARINE CONST. 752 N.E. 79TH St. Miami, Florida 33138 `14th J Ter 4th a yr Bc O ap OGK t2ePus.ce t- t 1 W OQ EDC AT2 5G+- .IRAu - t3 qo /Y.E. for .S BEET M /AHI SNORES, -71-0/2/..DA